Your support network and strategies for thriving in your changing gender expression with family and friends, at work and at school.

Your health care provider will usuallyperform an exam. They will also likely ask you to do some laboratory work, such as a blood test.

If you are a youth seeking puberty blockers or hormone therapy, you will typicallyreceive a hormone readiness assessment with a qualified mental health professional. Then you will be referred to a pediatricendocrinologist who prescribes and monitors the treatment. For recommendations of mental health professionals who work with trans youth,
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For youth, when you visit your mental health professional to talk about starting puberty blockers or hormones, they will likely want to discuss:

How you understand your gender identity

The way you express your gender identity

How you feel about your body

How you are doing emotionally

Your relationships with peers and family

Your experiences at school and in the community

What to expect from puberty blockers/hormone treatments

What puberty blockers/hormone treatments won’t do

Yes. Hormone therapy can be medically necessary for a range of people, including those who are genderqueer, gender variant, or gender non-conforming.

Based on empirical research with IBM employees in over 50 countries, the model illustrates how the dominant cultural preferences differ across national societies and gives insights into the consequences of bringing groups of people with different preferences together. Hofstede’s work has always been controversial. It has been widely applied to international management and is still a mainstay of many corporate intercultural training programmes. However, the model is also increasingly criticised for its limitations such as old data, one company approach and too few dimensions. There is no doubt that Hofstede’s model remains one of the most valuable pieces of work in the field of intercultural communication helping organisations to understand how they can collaborate more effectively across cultures – and if nothing else causing thought-provoking discussion and further developments in the field.

Hofstede’s dimensions

The four core dimensions are power distance, individualism versus collectivism, masculinity versus femininity and uncertainty avoidance. Partly in response to the criticisms mentioned above, a fifth dimension focused on long and short term time orientation based initially on a survey developed with Chinese employees was later added. In 2010 a sixth dimension was added to the model, Indulgence versus Restraint. This was based on Bulgarian sociologist Minkov’s label and also drew on the extensive
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. Indulgence societies tend to allow relatively free gratification of natural human desires related to enjoying life and having fun whereas Restraint societies are more likely to believe that such gratification needs to be curbed and regulated by strict
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. Indulgent cultures will tend to focus more on individual happiness and well being, leisure time is more important and there is greater freedom and personal control. This is in contrast with restrained cultures where positive emotions are less freely expressed and happiness, freedom and leisure are not given the same importance. The map below broadly reflects where indulgence and restraint tend to prevail.

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